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Contact Information

PRIMARY ONCOLOGY NETWORK PLLC
1325 LOCUST AVE STE 15
FAIRMONT, WV26554-1435
 Phone: 304-366-0111
 Fax: 304-366-2099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PRIMARY ONCOLOGY NETWORK PLLC

NPI # 1588610570
LBN Legal business name PRIMARY ONCOLOGY NETWORK PLLC
Authorized official JOHN AZAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2006
Last updated 11/16/2016 - About 10 years ago
Identifiers
WV License # 17192
WV License # 26308
WV Medicaid 0204568000
WV Other CH6378 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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